| NPI | 1770755985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60544826) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: NY 256268) | |
| 207R00000X Internal Medicine (Licence: NY 256268) | |
| 207R00000X Internal Medicine (Licence: CO 054224) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2016-01-06 |